01 January 2002
Causes for early reintervention after thyroidectomy.
Luis Mauricio Hurtado-López, Felipe Rafael Zaldivar-Ramirez, Erich Basurto Kuba, Abraham Pulido Cejudo, Jose Humberto Garza Flores, Oscar Muńoz Solis, Carlos Campos CastilloMed Sci Monit 2002; 8(4): CR247-250 :: ID: 420873
Abstract
BACKGROUND: The purpose of our study was to ascertain the causes for earlyreintervention after thyroidectomy performed by a surgical team using a systematized surgical technique.MATERIAL/METHODS: We analyzed 1131 patients, 939 (83.1%) women and 192 (16.9%) men, average age 38.7years (range 12 to 79). Of these patients, there were 675 hemithyroidectomies with isthmusectomy (59.74%),189 subtotal thyroidectomies (16.71%), and 267 total thyroidectomies, alone or with regional lymphaticdissection at levels VI and VII (23.55%). Statistical analysis was performed by main tendency measuresand chi square (chi-squared) for comparison of two independent samples; the dependent variable was therate of early reintervention, while the independent variables included causes, time of presentation,hormonal functional state and extent of surgery. RESULTS: Early reintervention was necessary in 11 cases(0.97%). 9 were due to hematoma (0.79%) resolved with drainage and hemostasis, and two (0.18%) due toacute respiratory failure (ARF) caused by laryngeal edema, resolved by tracheostomy. Analysis based ondiagnosis, extent of surgery and functional state failed to reveal statistically significant differences.The maximum time presentation of complications was 6 hours. CONCLUSIONS: The most intense postoperativemonitoring is necessary during the first six hours. The low frequency of early reintervention and theappearance of complications in less than 8 hours enable thyroid surgery to be performed on a short-staybasis with adequate safety margins.
Keywords: Adolescent, Child, Comparative Study, Diagnosis-Related Groups, Drainage, Hematoma, Hemostatic Techniques, Laryngeal Edema, Length of Stay, Longitudinal Studies, Postoperative Care, Postoperative Complications, Prospective Studies, Random Allocation, Recurrent Laryngeal Nerve, Respiratory Insufficiency, Safety, Thyroidectomy, Time Factors, Tracheostomy
Editorial
01 May 2024 : Editorial
Editorial: First Regulatory Approval for Adoptive Cell Therapy with Autologous Tumor-Infiltrating Lymphocytes (TILs) – Lifileucel (Amtagvi)DOI: 10.12659/MSM.944927
Med Sci Monit 2024; 30:e944927
In Press
11 Mar 2024 : Clinical Research
Enhancement of Frozen-Thawed Human Sperm Quality with Zinc as a Cryoprotective AdditiveMed Sci Monit In Press; DOI: 10.12659/MSM.942946
12 Mar 2024 : Database Analysis
Risk Factors of Age-Related Macular Degeneration in a Population-Based Study: Results from SHIP-TREND-1 (St...Med Sci Monit In Press; DOI: 10.12659/MSM.943140
12 Mar 2024 : Clinical Research
Preoperative Blood Transfusion Requirements for Hemorrhoidal Severe Anemia: A Retrospective Study of 128 Pa...Med Sci Monit In Press; DOI: 10.12659/MSM.943126
12 Mar 2024 : Clinical Research
Tissue Inhibitors of Metalloproteinase 1 (TIMP-1) and 3 (TIMP-3) as New Markers of Acute Kidney Injury Afte...Med Sci Monit In Press; DOI: 10.12659/MSM.943500
Most Viewed Current Articles
17 Jan 2024 : Review article
Vaccination Guidelines for Pregnant Women: Addressing COVID-19 and the Omicron VariantDOI :10.12659/MSM.942799
Med Sci Monit 2024; 30:e942799
14 Dec 2022 : Clinical Research
Prevalence and Variability of Allergen-Specific Immunoglobulin E in Patients with Elevated Tryptase LevelsDOI :10.12659/MSM.937990
Med Sci Monit 2022; 28:e937990
16 May 2023 : Clinical Research
Electrophysiological Testing for an Auditory Processing Disorder and Reading Performance in 54 School Stude...DOI :10.12659/MSM.940387
Med Sci Monit 2023; 29:e940387
01 Jan 2022 : Editorial
Editorial: Current Status of Oral Antiviral Drug Treatments for SARS-CoV-2 Infection in Non-Hospitalized Pa...DOI :10.12659/MSM.935952
Med Sci Monit 2022; 28:e935952